Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207X00000X | Orthopaedic Surgeon | 47327 | MN |
NPI | 1033184213 |
---|---|
Provider Name | Gregory John Folsom |
First Address | Edina, MN 55439-2516 |
Second Address | Edina, MN 55439-2516 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 21/02/2006 |
Last Update Date | 10/11/2020 |